<Unavail>

LBN: Roswell Procedural Medicine Associates
<Unavail> is an health care organization with primary practice located at 7451 Chapel Ave , Fort Worth TX 76116-7090. The organization recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as the primary health care specialty. Roswell Procedural Medicine Associates can be contacted via phone (817) 294-7444, or through Delillo, Robert Louis via phone (817) 966-2762.

Contact Information

Primary practice address
7451 Chapel Ave Fort Worth TX 76116-7090
Phone: (817) 294-7444
Fax: (817) 423-9060
Website:
Map and Directions
Authorized official contact:
Name: Delillo, Robert Louis C.R.N.A., A.R.N.P.
Phone: (817) 966-2762

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X CRNA-01308 New Mexico
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 514647 Texas

Profile Details

NPI number 1366841587
LBN Legal business name Roswell Procedural Medicine Associates
DBA Doing business as <Unavail>
Authorized official Delillo, Robert Louis C.R.N.A., A.R.N.P.
Entity Organization
Organization subpart 1 No
Enumeration date Aug 14th, 2014
Last updated Aug 14th, 2014 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1366841587 NPPES
Texas Other 8755UE BCBS
Texas MEDICAID 126047304 BCBS
Texas Other 1013008721 BCBS
Texas Other 84396C BCBS
Texas Other 00C37J BCBS
Texas MEDICAID 006995701 (CORP) BCBS
Texas Other 1245314640 BCBS

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